Homesafe Plus

Patient situation

You will have the following options available to select:

• In hospital planned/urgent discharge or prevention of admission
  This should be used for all patients who would benefit from borough council services on discharge. This should be the standard pathway for any patient admitted to hospital or at hospital but to prevent admission.
• At home - community-based referral
  This option should be selected for any referral where a patient is not currently in hospital
• Homesafe Pack being issued to patient
  The emergency Homesafe Plus packs are being phased out as the equipment is being upgraded. If you do have a Homesafe Pack, please contact our admin team on 01932 425865. If you wish to make a referral without a Homesafe Plus pack, please go back and select the most appropriate option to continue.

Patient Information

Homesafe Plus is available to residents living in Elmbridge, Runnymede, Spelthorne, Surrey Heath, Woking. When inputting the patient's address, the patient’s borough will be automatically identified from the postcode. If the patients address falls outside of the boroughs mentioned above, then you won’t be able to use the Homesafe Plus form to refer to council services, but you can still contact the patient’s local council directly if required. If the address isn’t recognised, you can enter the address and select the borough manually. 

Discharge details and medical information

If the patient's discharge date and time is known this should be completed as accurately as possible to ensure borough staff are able to provide the relevant services in a timely manner.

If the discharge date is not known a rough estimation should be given e.g. two weeks.

The most relevant category should be selected to represent Medical Need. This may not reflect the reason for their hospital stay which can be detailed underneath.

Where possible do not use medical abbreviations as staff receiving these referrals will not be medically trained and may not understand the terms used. Please provide sufficient information to cover issues/disabilities that may need to be relayed in an emergency situation.

Next of kin information

Up to two emergency contacts can be entered. One of these contacts should preferably be living nearby to the patient to assist with access to the property should there be an emergency or concern for welfare.

If there are no next of kin, the patient can still be referred for Homesafe Plus, however if there is not an existing key safe, a temporary key safe must be selected when this option is given.

Community Alarm

If a community alarm is needed you will be guided through the form to complete details for a member of staff to arrange installation of an alarm.

Temporary key safe

This page may appear in certain scenarios. If needed, you will be guided to provide the patient with one of the special temporary key safe only packs.

Meals at Home

If Meals at Home are required, you will be guided through the form to add any dietary and allergy information, frequency etc.

Staff will need to know how access to access the patient's property as meals cannot be left outside or in an alternative location. If there is no one able to answer the door you will be prompted to indicate how access should be made e.g. one of the emergency contacts given, an existing key safe.

Handyperson and Home Improvement Agency

Use this page to select any equipment or adaptations that the patient may require. An assessment will be carried out by the borough council to determine suitability.

Referrer details

If an email address is inputted, a copy of the referral submission will be sent to it.

Submission page

Please ensure the patient's consent for this referral has been obtained.